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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Electrode, Electrosurgical, Active, Urological
510(k) Number K251403
Device Name Dornier Bi-Polar Electrode BIP12CLM Bipolar 12° Medium Cutting Loop 24 Fr Electrode-Sterile, Single-Use BIP12CLL Bipolar 12° Large Cutting Loop 24 Fr Electrode-Sterile, Single-Use BIP30CLM Bipolar 30° Medium Cutting Loop 24 Fr Electrode-Sterile, Single-Use BIP30CLL Bipolar 30° Large Cutting Loop 24 Fr Electrode-Sterile, Single-Use BIPMBLA Bipolar Medium Bladder Loop 24 Fr Electrode-Sterile, Single-Use BIPNEEL Bipolar Needle 24 Fr Electrode-Sterile, Single-Use BIPDDSC Bipolar Disc )
Applicant
Dornier Medtech America Inc (Dmta)
1155 Roberts Blvd., Suite 100
Kennesaw,  GA  30144
Applicant Contact John Hoffer
Correspondent
Dornier Medtech America Inc (Dmta)
1155 Roberts Blvd., Suite 100
Kennesaw,  GA  30144
Correspondent Contact John Hoffer
Regulation Number876.4300
Classification Product Code
FAS  
Date Received05/06/2025
Decision Date 12/05/2025
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Gastroenterology/Urology
510k Review Panel Gastroenterology/Urology
Summary Summary
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized
No
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